![]() ![]() Surgery, usually reserved for more severe or recurrent symptoms, involves incision at the wrist and sectioning of the transverse carpal ligament compressing the median nerve. ![]() Steroid injections into the carpal tunnel can provide temporary relief of symptoms. Non-surgical management, usually tried in patients with new onset mild symptoms, involves rest, occasional splinting of the hand and wrist, and non-steroidal anti-inflammatory drugs. Once these symptoms are brought the attention of a physician, an electromyogram (EMG) and nerve conduction velocities (NCV) can be obtained to confirm the diagnosis. In severe cases there can be atrophy of the hand muscles. A cortisone injection into the carpal tunnel sometimes helps as well. NSAIDs and acetaminophen help to relieve any pain. Many patients note a painful numbness in the affected hand while sleeping at night. The good news is that mild carpal tunnel syndrome often goes away after you wear a wrist splint at night for a few weeks. Patients frequently complain of hand weakness (particularly in grip), hand clumsiness and hand numbness. ![]() ![]() How Is Carpal Tunnel Syndrome Discovered? The development of carpal tunnel syndrome has been associated with trauma, obesity, pregnancy, multiple myeloma, hypothyroidism and amyloidosis. However, patients who perform repetitive manual tasks (such as assembly line work), or construction workers that use vibrating hand tools are at increased risk of developing carpal tunnel syndrome. In most cases, no specific etiology can be identified. ![]()
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